Beruflich Dokumente
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Injections
Steroids, soluble and insoluble Triamcinolone hexacetonide (Aristospan) Triamcinolone acetonide (Kenalog) Methylprednisolone acetate (DepoMedrol) Dexamethasone (Decadron) Local anesthetics Bupivacaine (Marcaine) Lidocaine (Xylocaine)
Elbow Exam
Lateral epicondyle at insertion of common extensor tendon Olecranon bursa Lateral joint line between humerus and proximal ulna for synovial swelling or effusion
Olecranon Bursa
Palpate over proximal ulna
Elbow Injections
Lateral epicondyle Elbow joint injection
Wrist Exam
Support wrist in 15degree flexion Palpate radiocarpal joint and ulnocarpal joint Keep extensor tendons relaxed
Wrist Injection
Wrist in 15-degree flexion Insert needle next to extensor tendon of the thumb Angle slightly toward distal ulna
Metacarpophalangeal Joints
Support palm of hand Palpate both sides of the joint line with thumbs
Finger Exam
Palpate both lateral joint lines with thumb and index finger while palpating volar and palmar sides with opposite thumb and finger
Injections
Steroids, soluble and insoluble Triamcinolone hexacetonide (Aristospan) Triamcinolone acetonide (Kenalog) Methylprednisolone acetate (DepoMedrol) Dexamethasone (Decadron) Local anesthetics Bupivacaine (Marcaine) Lidocaine (Xylocaine)
Prepatellar Bursa
Palpate anterior surface of patella
Knee Injection
Knee fully extended Junction upper third and lower two thirds of the patella Insert needle under patella and aim superiorly
ACR
Ankle Exam
For tibiotalar joint, palpate 1 cm anterior to distal medial malleolus just medial to extensor tendon and palpate anterior to distal fibula
Metatarsophalangeal Exam
Palpate MTP joint with second and third fingers on plantar surface while stabilizing joint with thumb on anterior surface
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